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DK2350082T3 - Choline and thromethamine salt of licofelone - Google Patents

Choline and thromethamine salt of licofelone Download PDF

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DK2350082T3
DK2350082T3 DK09744401.2T DK09744401T DK2350082T3 DK 2350082 T3 DK2350082 T3 DK 2350082T3 DK 09744401 T DK09744401 T DK 09744401T DK 2350082 T3 DK2350082 T3 DK 2350082T3
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licofelone
salt
choline
salts
temperature
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Wolfgang Albrecht
Hans-Günter Striegel
Stefan Laufer
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C A I R Biosciences Gmbh
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D487/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04Ortho-condensed systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/407Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with other heterocyclic ring systems, e.g. ketorolac, physostigmine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/08Bronchodilators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/06Antipsoriatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/06Immunosuppressants, e.g. drugs for graft rejection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D473/00Heterocyclic compounds containing purine ring systems
    • C07D473/26Heterocyclic compounds containing purine ring systems with an oxygen, sulphur, or nitrogen atom directly attached in position 2 or 6, but not in both
    • C07D473/28Oxygen atom
    • C07D473/30Oxygen atom attached in position 6, e.g. hypoxanthine

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  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)

Description

DESCRIPTION
[0001] The present invention relates to choline salts of Licofelone, to a process for their preparation, a pharmaceutical preparation containing such a salt and their use.
[0002] Licofelone is the INN designation of a promising inhibitor of cylcooxygenase and 5-lipoxygenase which is suitable for the treatment of rheumatoid diseases and for the preventive treatment of allergy-induced disorders, concerning which see, for example, Drugs of fhe Future 1995, 20 (10):1007-1009. Moreover, Licofelone has chondroprotective (WO-A 03/020267), gastroprotective (WO-A 03/097041) and anti-neoplatic properties (WO-A 08/012110).
[0003] None of said references describes a salt of Licofelone. It is merely mentioned that annellated pyrrole compounds represented by the general formula
may form base addition salts, for instance, salts with inorganic bases, such as sodium or potassium hydroxide, or with organic bases, such as mono-, di- or triethanolamine, and the like.
[0004] The solubility of Licofelone and thus its bioavailability is rather low. Also, Licofelone undergoes degradation when stored at elevated temperatures over several weeks.
[0005] The present invention is based on the object of providing a further form of Licofelone which is improved in relation to its solubility. A further object is providing a form of Licofelone which is also improved in relation to stability.
[0006] It has now surprisingly been found that these objects are achieved by the choline salt of Licofelone.
[0007] The present invention therefore relates to 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salts of the formula I
Brief description of the figures: [0008] These show in Fig. 1 the X-ray powder diffractogram of (A) the choline salt prepared in example 1A and (B) the choline salt prepared in example 1 B;
Fig. 2 the IR-spectrum of the choline salt prepared in example 1 B; and Fig. 5 the sum of known and unknown impurities in Licofelone, Licofelone choline salt (prepared in Example IB) and Licofelone tromethamine salt (prepared in example 2) after storage at elevated temperatures for (A) 4 weeks and (B) 8 weeks.
[0009] The choline salts of the invention can be characterized by their X-ray diffraction diagram (powder diffractogram). According to one embodiment, the invention relates to two crystalline forms a) and b) of a choline salt whose X-ray diffraction diagrams have the following characteristic 2ÅZÅ, (± 0.2) values, determined with a Bruker-AXS D8 Advance powder X-ray diffractometer (Bruker-AXS, Karlsruhe, Germany), using monochromatic CuKAZA±l radiation and a Vantac detector (values in ° 2ÅZÅ, (± 0.2): 1. a) 8.7, 12.3, 13.8, 14.2, 14.5, 15.5, 18.6, 21.5; or 2. b) 9.0, 9.4, 12.5, 15.4, 16.2, 17.1, 20.0, 20.3, 21.6.
[0010] According to a particular embodiment, the invention relates to a choline salt having the X-ray diffraction diagram shown in Figure 1A or Figure IB.
[0011] The choline salts of the invention can also be characterized by their IR spectrum. According to one embodiment, the invention relates to a choline salt having a peak in the IR spectrum at 1580 ± 0.5 and a peak at 1358 ± 0.5 cm"1. According to a particular embodiment, the invention relates to a choline salt having the IR spectrum shown in Figure 2.
[0012] The choline salts can be produced by dissolving Licofelone in anhydrous ethanol at 50°C, adding a solution of choline in methanol to the dissolved Licofelone while heating to 65°C, evaporating a part of the solvent while allowing the mixture to cool off, adding diethylether, and recovering the precipitate.
[0013] Alternatively, the choline salts can be produced by dissolving Licofelone in anhydrous ethanol at 75°C, adding a solution of choline in water to the dissolved Licofelone while maintaining the temperature at 75°C, stirring at reflux, allowing the mixture to cool to 35°C, adding a first portion of diethylether in 15 minutes while maintaining the temperature at 35°C, adding a second portion of diethylether in 30 minutes while maintaining the temperature at 35°C, cooling the suspension in 2 h to 23°C, stirring at this temperature for about 15 h, further cooling the suspension in 2 h to -13°C, stirring at this temperature for about 2 h, and recovering the precipitate.
[0014] The choline salts of the invention show an improved solubility when compared to the free acid and also to the tromethamine salts. Licofelone choline salts are more stable than the free acid when stored at moderately elevated temperatures for several weeks.
[0015] The Licofelone salts of the invention have proved to be a potent cyclooxygenase and/or lipoxygenase inhibitor. It is notable for a strong analgesic effect and for a similar inhibitory effect on the enzymes cyclooxygenase (CO) and lipoxygenase (LO) (IC50LO/IC50CO - 1). They can therefore be used in the treatment of disorders associated with a change in arachidonic acid metabolism. Particular mention should be made of rheumatoid diseases and the prevention of allergy-induced disorders. The Licofelone salts of the invention thus represent an effective anti-inflammatory, analgesic, antipyretic and antiallergic agent and has antibronchoconstrictor activity and can additionally be used for the prophylaxis of thrombosis and the prophylaxis of anaphylactic and septic shock and for the treatment of dermatological disorders such as psoriasis, urticaria, acute and chronic exanthemas of allergic and nonallergic origin. In addition, they can be used for the treatment of hypercholesterolaemia.
[0016] The Licofelone salts of the invention can be administered either as single therapeutic active ingredient or as mixture with other therapeutic active ingredients. They can be administered as such, but they are generally administered in the form of a pharmaceutical composition, i.e. as a mixture of the active ingredient with one or more pharmaceutically acceptable excipients, especially carriers, diluents and/or additives. The compound or the composition can be administered, for instance, enterally, e.g. orally or rectally, or parenterally, e.g. subcutaneously, intravenously or intramuscularly, but it is preferably given in oral dosage forms.
[0017] The nature of the pharmaceutical composition and of the pharmaceutical carrier or diluent depends on the desired mode of administration. Oral compositions can be in the form for example of tablets or capsules and may comprise conventional excipients such as binders (e.g. syrup, acacia, gelatin, sorbitol, tragacanth or polyvinylpyrrolidone), fillers (e.g. lactose, sugar, maize starch, calcium phosphate, sorbitol or glycine), lubricants (e.g. magnesium stearate, talc, polyethylene glycol or silicon dioxide), disintegrants (e.g. starch) or wetting agents (e.g. sodium lauryl sulphate). Oral liquid products can be in the form of aqueous or oily suspensions, solutions, emulsions, syrups, elixirs or sprays etc. or may be in the form of dry powders for reconstitution with water or another suitable carrier. Such liquid products may comprise conventional additives, for example suspending agents, flavourings, diluents or emulsifiers. Solutions or suspensions with conventional pharmaceutical carriers can be employed for parenteral administration.
[0018] The Licofelone salts of the present invention are particularly suitable for preparing solutions of Licofelone for parental administration. For instance, the salts may be provided as a powder which is dissolved in a suitable solvent prior to administration. Suitable solvents are well known in the art and include e.g. 0.9 % saline with 10 % ethanol. Additionally, the solution may contain further auxiliary agents such as those commonly used for parenteral formulations, e.g. sugar alcohols and the like.
[0019] Treatment with Licofelone takes place by administering an effective amount of the Licofelone, usually formulated in accordance with pharmaceutical practice, to the individual to be treated, preferably a mammal, in particular a human. Whether such a treatment is indicated and the form in which it is to take place depends on the individual case and is subject to a medical assessment (diagnosis) which takes account of the signs, symptoms and/or dysfunctions present, and of the risks of developing particular signs, symptoms and/or dysfunctions, and further factors.
[0020] Treatment usually takes place by a single or multiple daily administration, optionally together with or alternately with other active ingredients or active ingredient-containing products, so that a daily dose of about 10 mg to about 2000 mg and in particular 10 mg to about 1000 mg is supplied to the individual to be treated.
[0021] The following examples illustrate the invention without limiting it.
[0022] X-ray powder diffractograms were recorded on a Bruker-axs D8 Advance powder X-ray diffractometer (Bruker-AXS, Karlsruhe, Germany). The sample holder was rotated in a plane parallel to its surface at 20 rpm during measurement. The measurement conditions were as follows: Radiation: Cu KAZA±, Source 40 kV / 40 mA, divergence slit 0.6 mm, antiscattering slit 5.59 mm, detector slit 10.28 mm, start angle 2 °, end angle 55°, Step 0.016° 20. Raw data were evaluated using the program EVA (Bruker-AXS, Karlsruhe, Germany).
[0023] IR spectra were recorded on a Thermo Nicolet's Avatar 330 FT-IR equipped with smart endurence Diamond ATR unit for direct measurements (measurement mode: range 4000.0-500.0 cm-1, detection limit (absolute) 0,075; sensitivity 50)
Example 1 A. Preparation of 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salt [0024] 0.25 mol (94.97 g) Licofelone were dissolved in 1,050 ml ethanol at 50°C. 74.02 ml of a 45 % solution of choline in methanol (corresponding to 0.2625 mol choline) were added and the mixture was heated to 65°C and kept at this temperature for 30 min. Thereafter, the oil bath was removed and approx. 950 ml solvent was removed by evaporation. 500 ml diethylether were added and the white precipitate was filtered, washed with 200 ml diethylether and dried at 30°C in vacuum.
Yield: 97.9 g (= 81 %), chemical purity (HPLC): 99.7% (water content: 2.2 %) [0025] An X-ray diffraction diagram of the choline salt is shown in Figure 1A. B. Preparation of 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salt [0026] Licofelone (2.45 kg) was slurried in ethanol (6.61). The slurry was heated to 75°C. 50% aqueous choline (1.65 kg) was introduced maintaining the temperature at 75°C and the line was rinsed with ethanol (3.21). The resulting solution was stirred at reflux (77°C) for 30 min, filtered on a 0.3 pm cartridge filter and the filter was rinsed with warm ethanol (2.51). The solution was cooled to 35°C and diethylether (19.31) was added in 15 min maintaining the temperature at 35°C. Diethylether (30.91) was added in 30 min keeping the temperature at 35°C. The suspension was cooled in 2 h to 23°C, stirred at this temperature for about 15 h, further cooled to -13°C in 1 h and stirred at this temperature for 2 h. The product was centrifuged and the cake was washed with cold diethylether (7.71). The wet cake was dried at approx. 30°C for 72 h.
Yield: 2.7 kg (=87%), chemical purity (HPLC): 99.84% (water content: 3.5 %) [0027] X-ray diffraction diagram and IR-spectrum of the choline salt are shown in Figures IB and 2, respectively. Example 2 (Reference example)
Preparation of 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid tromethamine salt [0028] Licofelone (2.25 kg) was slurried in ethanol (59.2 I). The slurry was heated to 47°C until dissolution. Tromethamol (0.79 kg) was introduced maintaining the temperature at 47°C and the resulting slurry was stirred at 47°C for 1 h. Diisopropylether (14.8 I) was added in 15 min maintaining the temperature at 47°C. The suspension was cooled in 3 h to 27°C, stirred at this temperature for about 1 h, further cooled to -13°C in 1 h and stirred at this temperature for 2 h. The product was centrifuged and the cake was washed with cold diisopropylether (7.1 I). The wet cake was dried at approx. 80°C for 15 h.
Yield: 2.73 kg (= 92%), chemical purity (HPLC): >99.9% (water content: 0.1 %)
Example 3
Pharmaceutical composition comprising 6-(4-chk>rophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salt [0029] Tablets containing the following ingredients were prepared in a conventional manner. 127.2 mg Licofelone-choline salt (corresponding to 100 mg Licofelone free acid) 20 mg Na-carboxymethylcellulose 90 mg microcrystalline cellulose 116 mg Sepistab 16 mg Kollidon 5 mg Talcum 3 mg Mg-stearat [0030] Tablets containing the following ingredients were prepared in a conventional manner. 63.6 mg Licofelone-choline salt (corresponding to 50 mg Licofelone free acid) 8 mg Kollidon VA 64 120 mg Pharmaburst 25 mg Kollidon CL 290 mg Mannitol 5 mg Mg-stearat
Example 4 [0031] Solubility of 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salt and 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid tromethamine salt as compared to 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid 4.1. Solubility in 2-pyrrolidone [0032] Approx. 500 mg Licofelone (free acid) or the corresponding salt (examples 1A and 2) were suspended in 1 ml 2-pyrrolidone and mixed for 30 min. The temperature was maintained at 25°C. After centrifugation the concentration of Licofelone in the supernatant was determined by HPLC with UV detection. The results are summarized in table 1.
Table 1:
4.2. Solubility in Fasted State Simulated Intestinal Fluid (FaSSIF) [0033] FaSSIF was prepared according to the literature (e.g. Marques M, Dissolution Technologies, May 2004). Blank FaSSIF was prepared by dissolving 1.74 g NaOH pellets, 19.77 g Νθ2ΗΡθ4·Η2θ and 30.93 g NaCI in 5 I water. The pH value was adjusted to 6.5 using 1 N NaOH. The ready-to-use FaSSIF was prepared by dissolving 3.3 g sodium taurocholate in 500 ml blank FaSSIF. Then, 11.8 ml of a solution of 100 mg/ml lecithin in dichloromethane was added and thereafter, the solvent dichloromethane was removed under vacuum at 40°C. Thereafter the clear solution was transferred into a graduated 21 flask and made up to volume with blank FaSSIF.
[0034] Solubility studies were performed with Licofelone (free acid), Licofelone tromethamol salt (example 2) and Licofelone choline salt (example 1A). The test articles were placed in a beaker, FaSSIF and a magnetic stirring bar were added and the mixture was stirred using a magnetic stirrer. After 15 min, samples were withdrawn, filtered and the clear filtrate was analyzed by HPLC to determine the concentration of Licofelone.
[0035] The dissolution test was performed in 100 ml FaSSIF and 30 ml FaSSIF. The lower volume was selected in order to simulate the physiological ratio between drug and intestinal fluid volume.
Example 5 [0036] Stability of 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid choline salt and 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid tromethamine salt as compared to 6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-lH-pyrrolizin-5-ylacetic acid [0037] The raw materials (a) Licofelone, (b) Licofelone choline salt (example 1A) and (c) Licofelone tromethamine salt (example 2) were stored in open containers at 40, 50, 60 and 70°C as well as at 40°C with 75% relative humidity. Samples were analyzed after storage periods of 4 and 8 weeks. A validated method was applied for quantification of the five known impurities as well as of unknown impurities. The results are shown in Figs. 5A and 5B.
REFERENCES CITED IN THE DESCRIPTION
This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.
Patent documents cited in the description • W003020267A 100021 • WQQ3097041A [00021
• VVOa8.Q 12 UQA LQ.Q.Q2J
Non-patent literature cited in the description • Drugs of fhe Future, 1995, vol. 20, 101007-1009 [00021 • MARQUES MDissolution Technologies, 2004, Γ00331

Claims (4)

1. 6-(4-Chlorphenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-1 H-pyrrolizin-5-yleddikesyre-cholinsalt med formlen I1. 6- (4-Chlorophenyl) -2,2-dimethyl-7-phenyl-2,3-dihydro-1H-pyrrolizin-5-ylacetic acid choline salt of Formula I 2. Farmaceutisk sammensætning omfattende saltet ifølge krav 1 og ét eller flere farmaceutisk acceptable excipienser.A pharmaceutical composition comprising the salt of claim 1 and one or more pharmaceutically acceptable excipients. 3. Anvendelse af saltet ifølge krav 1 ved fremstillingen af et medikament til behandling af en rheumatoid sygdom.Use of the salt according to claim 1 in the manufacture of a medicament for the treatment of a rheumatoid disease. 4. Salt ifølge krav 1 til anvendelse ved behandling af en rheumatoid sygdom.The salt of claim 1 for use in the treatment of a rheumatoid disease.
DK09744401.2T 2008-10-31 2009-10-30 Choline and thromethamine salt of licofelone DK2350082T3 (en)

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PCT/EP2009/064390 WO2010049525A1 (en) 2008-10-31 2009-10-30 Choline and tromethamine salt of licofelone

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EP3324959B1 (en) 2015-07-17 2023-07-12 The Board Of Regents Of The University Of Oklahoma Licofelone derivatives and methods of use
EP3593792A1 (en) 2018-07-11 2020-01-15 Welding GmbH & Co. KG Pharmaceutical composition comprising 6- (4-chlorophenyl) -2,2-dimethyl-7-phenyl-2,3-dihydro-1h-pyrrolizine-5-yl acetic acid cholin salt
WO2023089636A1 (en) * 2021-11-21 2023-05-25 Aizant Drug Research Solutions Private Limited Pharmaceutical compositions of licofelone

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